藏医溯文挖掘的方法学建立——经典名方“达日班杂”的源流考证

    Methodology Establishment of Text Tracing Mining for Tibetan Medicine——Origin Research of the Classic Famous Prescription “star bu pny+tsa”

    • 摘要:
      目的 针对藏医经典名方源流考证缺少规范化方法、“达日班杂”文献考证空白等问题,建立藏医经典名方源流考证的“溯文挖掘”方法学,以“达日班杂”为实例,考证其历史源流、组方演变规律与传承脉络,为藏医药经典文献的传承及现代研究提供支撑。
      方法 以“达日班杂”为核心关键词,检索藏医古籍文献与现代药品标准,结合藏医智能辅助诊治系统(TMIP_Brtagbcos_1.0)、藏医药溯源挖掘方法(TMIP_KL_1.0)筛选;制定严格的文献纳入与排除标准,遵循藏医药文献校勘规范,采用藏文音节切分加权相似度算法,完成文本挖掘与分析。
      结果 共检索相关文献347条,纳入有效文献65部;“达日班杂”最早收录于8世纪《四部医典》,12世纪《十八分支》明确其沙棘、木香、余甘子、荜茇、甘草五味核心组方,历代衍生方中核心五味药配伍占比85%,沙棘、木香、余甘子配伍稳定,仅少数方剂以肉桂替换甘草;该方遵循藏医味、效、化味三大配伍原则,现代临床可用于慢性阻塞性肺疾病等肺系疾病的治疗。
      结论 本研究建立的藏医溯文挖掘方法,可为藏医经典名方源流考证、文献校勘及组方溯源研究提供参考。“达日班杂”千年传承中核心配伍稳定,契合藏医治疗培根侵及气管所致肺疸、以催吐泻法疏通气道培根、排脓的核心治则,对肺系疾病临床诊疗及藏药现代化研发具有重要价值。

       

      Abstract:
      OBJECTIVE To address the lack of standardized research methods for the origin research of classic famous Tibetan medicine prescriptions and the blank in the literature research of “star bu pny+tsa”, this study establishes the methodology of “text tracing mining” for origin research of classic famous Tibetan medicine prescriptions. Taking “star bu pny+tsa”as a research example, this paper verifies its historical origin, prescription evolution rules and inheritance context, so as to provide support for the inheritance and modern research of classic Tibetan medical literature.
      METHODS Taking “star bu pny+tsa” as the core keyword, ancient Tibetan medical literature and modern drug standards were retrieved, and documents were screened combined with the Tibetan Medicine Intelligent Auxiliary Diagnosis and Treatment System(TMIP_Brtagbcos_1.0) and Tibetan Medicine Traceability Mining Method(TMIP_KL_1.0). Strict inclusion and exclusion criteria for literatures were formulated. In accordance with the collation specifications of Tibetan medical literature, the weighted similarity algorithm based on Tibetan syllable segmentation was adopted to carry out text mining and data analysis.
      RESULTS A total of 347 relevant literatures were retrieved, among which 65 valid literatures were included. “star bu pny+tsa” was firstly recorded in Four Medical Classics in the 8th century, and its core compatibility consisting of five medicinal materials including seabuckthorn, costus root, Phyllanthus emblica, long pepper, licorice was clarified in Eighteen Branches in the 12th century. The compatibility ratio of the five core medicinal herbs in derivative prescriptions of successive dynasties was 85%. The compatibility structure of seabuckthorn, costus root and Phyllanthus emblica remained stable, and only a small number of prescriptions replaced licorice with cinnamon. This prescription follows the three major compatibility principles of Tibetan medicine including taste, efficacy and transformed taste, and could be clinically applied to the treatment of chronic obstructive pulmonary disease(COPD) and other lung diseases in modern clinical practice.
      CONCLUSION The Tibetan medical text tracing mining method established in this research can provide references for origin textual research, literature collation, and formula traceability of classical famous Tibetan medical prescriptions. With a stable core compatibility throughout its millennial inheritance, the “star bu pny+tsa” formula conforms to the core therapeutic principle of Tibetan medicine for pulmonary jaundice caused by phlegm invading the trachea, which adopts emetic and purgative therapies to dredge tracheal phlegm and expel pus. It possesses important value for the clinical diagnosis and treatment of pulmonary diseases as well as the modern research and development of Tibetan medicines.

       

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